Jordan Dolan
Individual provider Active NPI Behavior Technician · Fairbanks, AK
NPI 1699566331 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1699566331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 526 Gaffney Rd Ste 100
Fairbanks, AK 99701-4914 - Phone
- (907) 687-5428
- NPI assigned
- May 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
526 Gaffney Rd Ste 100
Fairbanks, AK 99701-4914
Mailing address
2545 Mission Rd
North Pole, AK 99705-6300
Other providers in Fairbanks, AK
- Debra Lee Dodds
- Dodge Counseling LLC
- Margaret A Dodge
- Julie S Doell
- Adhora Dolan
- Perry Levi Dominick
- Stefanie Lyn Donahue
- Carly Donald
- Lisa Jean Donat
- Kaitln Donnelly
All providers in Fairbanks, AK · Behavior Technician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.